Highly Invasive Biliary Cancer Presenting as Multiple Extrabiliary Lesions Masquerading as Abscesses
Publication Date
11-1-2023
Journal
Cureus
DOI
10.7759/cureus.48894
PMID
38106784
PMCID
PMC10725195
PubMedCentral® Posted Date
11-16-2023
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
bile duct cancer, metastatic gall bladder, endoscopic ultrasound (eus), biliary carcinosarcoma, carcinosarcoma
Abstract
Carcinosarcomas of the biliary tract are an extremely rare type of malignancy and may be low on a differential when presenting as multiple metastatic masses. In this case report, we report a case of a female who presented with an aggressive late-stage disease whose initial workup did not indicate a malignant process. Further complicating her care, biopsy samples taken from extra-hepatic masses were culture-positive for Lactobacillus rhamnosu. Given the late stage of the patient’s disease, hospice care was initiated. The patient passed away four months after the initial presentation.
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